Waggoner, Rex Dwayne

Waggoner, Rex Dwayne is an individual health care provider with primary practice located at 609 W Maple Ave , Springdale AR 72764-5335. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Waggoner, Rex Dwayne can be contacted via phone (479) 757-5711.

Contact Information

Primary practice address
609 W Maple Ave Springdale AR 72764-5335
Phone: (479) 757-5711
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 26949 Arkansas

Profile Details

NPI number 1790769164
LBN Legal business name Waggoner, Rex Dwayne
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 30th, 2005
Last updated Jul 9th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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